Sodium is just a mineral that is present in salt as one of the chemical components. Potassium can be found in a variety of foods, including vegetables, fruits, shellfish, and dairy products. The majority of salt consumed in the United States is found in packaged, processed, store-bought, and restaurant foods. Salt added during cooking or at the table accounts for only a minor portion of the total.
The purpose of this report is to examine the evidence on the effects of interventions to lower sodium intake or increase potassium intake on blood pressure, total mortality, and CVD and kidney disease risk, as well as evidence from prospective cohort studies on the associations between sodium, potassium, and the sodium to potassium ratio and these outcomes.
Sodium and potassium importance
Sodium: Outside of cells, sodium is the most common positive ion (cation). Na+ is the chemical symbol for sodium. Table salt is created when sodium and chloride are mixed. Excess sodium (from dietary sources, for example) is eliminated in the urine.
Sodium controls the total amount of water in the body, and sodium transmission into and out of specific cells is important for many bodily functions. Electrical impulses are required for communication in many body processes, including in the brain, neurological system, and muscles. In the creation of these electrical impulses, sodium mobility is crucial. As a result, too much or too little sodium can cause cells to malfunction, and high or low sodium levels in the blood can be lethal.
When there is an overabundance of sodium in the water, it causes a reaction in the blood (hypernatremia). Hypernatremia can be caused by a variety of factors, including kidney illness, insufficient water consumption, and water loss due to diarrhoea and/or vomiting.
When there is a proportionate increase in the amount of body water relative to sodium, hyponatremia (low sodium concentration) occurs. This occurs in people with liver and kidney illnesses, congestive heart failure patients, burn sufferers, and a variety of other conditions.
A regular blood sodium content is 135-145 milliEquivalents/litre (mEq/L), or 135-145 millimoles/litre (mmol/L) in international units.
Potassium: Inside cells, potassium is the most abundant positive ion (cation). K+ is the chemical symbol for potassium. Potassium levels must be within a certain range for cells to operate normally. The regulation of the heartbeat and the function of the muscles are two of the many roles of potassium in the body. A significant increase in potassium (hyperkalemia) or decrease in potassium (hypokalemia) can have a significant impact on the neurological system and raise the risk of irregular heartbeats (arrhythmias), which can be fatal in extreme cases.
Hyperkalemia is the medical term for a high potassium level. Because potassium is normally eliminated by the kidneys, hyperkalemia can occur if the kidneys’ function is impaired. Hyperkalemia can also be caused by taking certain drugs.
The typical potassium level in the blood is 3.5 to 5.0 milliEquivalents/litre (mEq/L), or 3.5 to 5.0 millimoles/litre (mmol/L) in international units.
Imbalance of Sodium
Hyponatremia happens when sodium levels go too low, causing a variety of symptoms ranging from vomiting to seizures, and can be life-threatening, according to the Mayo Clinic.
According to the Merck Manual, hypernatremia occurs when salt levels are too high. This is frequently the result of dehydration, which can occur as a result of vomiting, diarrhoea, excessive perspiration, or the use of diuretics.
Imbalance of Potassium
Potassium levels, like sodium, can become unbalanced.
According to the Mayo Clinic, potassium deficiency, also known as hypokalemia, can be caused by taking diuretics or laxatives, excessive alcohol use, diarrhoea, excessive perspiration, and other conditions. According to the Mayo Clinic, hypokalemia can cause weakness and weariness.
According to the American Renal Fund, kidney illness is a common cause of excessive potassium levels (hyperkalemia). Potassium levels that are too high can cause heart issues. Hyperkalemia symptoms include weakness, weariness, and nausea.
Relationship between Sodium and Potassium
According to the Centres for Disease Control and Prevention, Americans consume too much sodium (which is ubiquitous in packaged and processed foods) and too little potassium in general (CDC).
According to the American Heart Association, having extra potassium has another benefit: it eliminates sodium from your body. According to the AHA, in addition to increasing your potassium intake, you should also minimise your salt intake.
Sodium and the human body
On any given day, higher salt consumption can raise the human body’s blood volume and subsequently blood pressure. However, we have a lot of systems in place to keep us in check, and these processes work well for a normal healthy person with normal blood pressure. Our ability to cope with greater amounts of sodium is substantially impaired once we have high blood pressure: we are now salt sensitive. As we become older and our weight rises above healthy levels, we become more salt sensitive.
The sodium-to-potassium ratio is extremely important.
The INTERSALT study looked at salt and potassium excretion in the urine (as a measure of consumption) as well as blood pressure in over 10,000 persons aged 20 to 59 years old from 32 countries throughout the world. According to the findings of this 1988 study, more potassium intake was linked to lower blood pressure, while the higher salt intake was linked to an increase in blood pressure with age.
Conclusion
Low sodium intake, increased potassium intake, and the use of potassium-containing salt replacements in the diet all lower blood pressure, especially in hypertensive patients. Limited evidence also suggests that salt intake is linked to an increased risk of all-cause death and that lowering sodium intake could reduce CVD morbidity and mortality.